1221IN
NO. STREET
T
i FOR PLUMBING PERMIT
OF CUPERTINO
SEP 13 i961: _
Date —1195— Permit No. f Z 7—
CITY
CITY. OF CUPERTINO Fee q�
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises�M MQ2C 1-b ` S-1ctt�(�Pulolva- \.G1):. -J
Owner*K v rOC k 7Zt M� Address 3 �1g CON.
MOD& /BLD Co _ Address 'y �
CONTRACTOR, AGENT,,
r- '/
•} � i t� DlV4 IIVJY]}l�yJ�y /
SURES NUMBER
MAIN DRAIN t.w"".
UNITS FEES
�'� UNFrS 1.:FEE9';
Water H eater �' �.
Size �; I - ' • `
Water Closets ( I oc 11
Material(L-L,I,'
Bath Tubs
To Curb
Showers
To Prop. Line -',o
Lavatories ( I T-5 II
To Existing ✓,. ,' ' '1'1-,.'
-Ikzb;iserr Sinks
Dish Washers
Waste Disposals
Wash Trays 1' -
STORM DRAINAGE+'�:1,
WashingMachines eo
13 0 130 -
I Size
Water Softeners ( Imo
Material
Bar Sinks -
To Main Drain
Comb. Sink a Trays
To'Curb
Dental Units
Drinking Fountainsl 1 .11
_
Floor Drains -
�: WATER SYSTEM
Hoppers
Restaurant Sinks
Material
Sand Traps
TTOTAL_
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Feerr,.;s�'`.,
Sprinkler Valves
Water Sys. Fee I
-Permit Fee
Tom' IaL o f L-
TOTAL PEE -- ,
/176
NO. STREET LOT NO.
APPLICA4T19-N FOR ELECTRICAL PERMIT
V11CUPERTINO7Dat5Permit No. ZZ `
Ann no or)
GO
I=cc S
Appy (�}hris b t h{,s {Q�(� of:, Cupertino_for;a.permit to,inStaQ electrical;--.,,
wiring �di is.O U1W. SgIItIvreverse side)hereof,warid agrees to install said
wiring and/or.fixiures;in accordance ;$ith•the provisions of theElectricalCode of the
City. of Cupertino, and-all,o herlIWys appAcable.theteto.."
i..NLC.A
/
; 1�V . �._ 666
se �df P.' iS �.s'.6. .
w':��j,
CAN
t Phon �1
Address
S AddrL i d
IOENT
BCfaIG1�JNSPECirck d y • t.. `f•.
Z
RP
Size Service Conduit ....-....._..........Number of Outlets ---------- ...... _'
Size Service Wires..........................Number of Switches.....:..........
Size Service Switch ---------------------- of Receptacles.. .........
Size Sub Feed Conduit ------------------ Number of Fixtures ------------------
Size Sub Feed Wires --------------------
Ranges ----------------
KW-----.------
--------
--------
-----
--- --
Number of Circuits ....--.------.----
Oven __..........
KW---.---.-------------
---------
-------...--
Number of Meters ..-----------------...Signs._.......
Transformers-.-----
. ---
------._.
-- O_a
Mise------------------------------`------
--- Dryers ......_....._.....---------'-
..............I---------
----------
Motors ----------- -------- HIS -------------------
Phase --------------------
Permit
Fee $1.00
Motors------------------- HP --------------------
Phase --------------------
Motors --------------- _ HP --------------------
Phase -------------------
H P Charge---------------
--o-o
L.----
a.
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring -------------------------
_ Fixtures ------------------ ------
-----------' - ...
DATE
INSPECTOR
DATE'
_: INSPECTOR^'^
"' `?T,°
Finish Wiring .....---'---.-----
Motors ...._.........�`---....
r SATE
INSPECTOR
DAT[
'INSP[<TO Rix
Final----- .................... ---------------.
�:
DAT[
INSPECTOR'
IGhg��I, �Gr�2or
NO. 4F.ET LOT
10Nf R ELECTRICAL
NOV 11-- 196f -IT �F CUPERTINO
CUL
PERMIT •_...
Date � I INU"_ Permit No.
Fee S p-
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws.applicable thereto.
Use
M
Address
Address io
CONTAACTOR(,AGENT
�_ / Approved. C
b 7 C Y '- :IELECTRICAL, , INSPECT02
NEW
RPL FEES
Size Service Conduit ......................Number of
Outlets. ---- X ------- ----------
-----go--
Size Service Wires ..........................umber of
Switches ....... r .. . .......
.......... ..............
Size Service Switch --- !X�6?2� ---- Number of
Receptacles./fF -- ----------
----------
Size Sub Feed Conduia ---Number of
Fixtures .... 21 ------ ..........
.......... ..............
Size Sub Feed Wires.�//2:710 .. Ranges ----------------
KW............_ - --------
---------- --------------
Number of Circuits------------------ Oven --------------
KW------"-'---I
Number of Meters------------------------Signs..........
Transformers ........
I
Misc------------ --------------------t-----..Dryers..-------
Motors -----9---------- HP ---- Phase ----
..... 0 ---------- ---------- - --- .. . ..... ........
Motors -------------------- HP.-'-
...............Phase.....-'-----------
Permit
Fee $1.00
Motors ----------- HP ----- ........ Phase --------------------
H P Charge ----------------
-
T�
TOTAL FEES
RECORD—OF! INSPECTION APPROVALS
Wirmg/,AV--) �
-'Rough -------- -- .......
I
Fixtures ------------ ----
----..... -----
DATE INSPECTOR ;"a:DATE
Firlish Wiiing ------- ...... ... .....
Motors ............. .........
INSPECTOR
............ 1 ----------
DAre: T""- INS�XCIFOUX,-,
�DA"
Final
INSPECTOR
................... -----
-----------------------
-ECTRim'SERVIC OTICE 017FICE
,
IC 11�opy
P
BUILDIN I S ECTO S OFFICE
I
y . .
CITY OF CUPER 1 0
.................
------------- ----- 1962�. -
You are hereby and * d to, meet he ELEgRIC service for
e
hereby
Owner or Tenant ... ---- . ... ..
At ...
...... .. ..... .
..
No. of Wires ...................... Size Wires ZI..A 04
--0
- ---------- Size of Switch -Zy
Motor Load ............................ Voltage ................................ Phase -----------------------
Heating Load ........................ K. W..---...---.._:
................... Voltage ------------- -------------------
No. of Meters -...../..
Light .............. 110 .... --- n'ect
. .. .... New Service --., ----- Recon
Heat ..............220
No. of Add. Meters................ Three Wire ..................Move ove Servic
Power
..................Move Meter ...... . ......
..........................
W4 �y
104.1/60-500 LECTRICAL INSPECTOR'S.